Individual
NICOLE HELENE GIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, RADC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13989
WI
1041C0700X
Clinical Social Worker
Primary
7319-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43717400
—
WI
Enumeration date
01/29/2007
Last updated
10/05/2010
Update your record
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